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Thursday, March 27, 2008

Gout Symptom Beyond The Big Toe

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In its first onslaught, gout usually attacks the big toe. In fact, approximately 90% of people who develop gout develop gout symptoms in their big toe. However, it is possible for gout to affect other joints. Whether it occurs in the initial attack or in later recurrences, gout can also be present in the:

- Instep
- Heel
- Ankle
- Knee
- Finger
- Wrist
- Elbow

Why does gout affect other joints? Gout occurs in other parts of the body for the same reason as it occurs in the big toe. Essentially, the body has a build up of too much uric acid. The excess uric acid develops into crystals that are often deposited into joints.

Regardless of what joint gout affects, the first attack almost always strikes at night and the infected area becomes inflamed, red, swollen and incredibly tender and painful. Most initial gout attacks clear up with in 3 ? 10 days and more than half of the people, who have experienced an acute attack of gout, will have another attack within the year. If action isn?t taken to prevent gout, over time, the recurrence of gout may become more frequent, last for longer periods of time and affect more joints.

For those gout sufferers who experience frequent lingering attacks, their gout condition will eventually become chronic. Chronic cases of gout involve more joints, and the constant presence of uric acid crystal deposits within the joint, and the soft tissues that surround it, leads to persistent inflammation. Chronic inflammation is a sign that destructive changes have occurred within the joint.

Furthermore, long-term cases of severe gouty arthritis will affect the fingers and can cause different joint to be inflamed simultaneously. This often occurs in elderly gout sufferers, and is a type of gout classified as polyarticular gout. In addition, those who failed to treat their gout condition, and experience regular attacks, will usually develop the most serious case of gout known as Chronic Tophacerious Gout, which usually occurs 10 ? 20 years after the initial attack.

Chronic tophacerious gout is characterized by the formation of tophi. Tophi are crystallized uric acid deposits that can be found directly under the surface of the skin in the joint area that is affected. The presence of tophi creates a lump. Small tophi may not be obvious, but they often appear as mobile lumps. Larger tophi make its presence known by poking through the skin and forming hard chalk-like nodules. Tophi nodules can appear on the: Outer ridge of the ear, forearms, elbows, hands, fingers, knees and feet.

Tophi nodules can become painful, especially if they are close enough to a joint that they restrict movement and cause stiffness. However, they usually are not sensitive to touch. Tophi within a joint will eventually cause the bone and cartilage to erode. Moreover, if the tophi are particularly large, permanent deformities can result. Chronic tophacerious gout is the most difficult form to treat.

As you can see, even though it isn?t common during the initial attack, gout symptoms can affect almost any joint, and the risk of it going beyond the big toe increases with recurrences and age. Therefore, if you suffer or have suffered from gout, you need to make sure that you keep your uric acid in check to avoid future attacks and protect the health of your other joints.

By Lisa McDowell. Sign up for a free newsletter & discover how to treat your gout symptoms with a natural cure for gout

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Thursday, January 17, 2008

What is gout and how can it be treated?

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Gout is just one of the many forms of arthritis, an affection of the joints that can be found in millions of people. Gout is the most encountered type of arthritis, and it manifests as an attack that usually appears during the night. The joint that is affected by the gout attack is the one that can be found in one of the big toes in most cases, (the big toe's ball) but gout can affect one of the joints from the ankles too. If gout is left untreated then the attacks start to appear more and more often and they will spread to other joints. In this situation treatment is required, because gout can turn into chronic gout and cripple the joints.

Gout appears at people who have too much uric acid in their body. Uric acid is created from the food which is digested and decomposed into its basic elements which are absorbed by the body. Sometimes there is too much uric acid in the blood. This uric acid starts to crystallize in the joints and causes irritation and inflammation and soon, gout occurs.
Therefore, the cause of gout is too much uric acid in the blood.
But what can cause the level of uric acid found in the blood to raise above the normal limit?
Well this can be caused by obesity, certain types of medication, or too much alcohol consumption.

If you want to prevent or treat gout then you need to reduce the levels of uric acid from the blood. You can do this by changing your diet so that it doesn't contain the types of food that contain purines, substances that raises the uric acid level. Red meat, peas, liver and shellfish are foods that have a lot of purines in them. So you should eat very little, or avoid eating any of the mentioned above.
There is also medication that can lower the amount of uric acid from the body but don't take any unless the doctor tells to do so because this medication can cause problems if the dose is not properly controlled.

If gout is left untreated for a long time then complications can appear. This happens because uric salts start to gather around the joints and cause small bulges. These bulges are treated with special medication prescribed by the doctor.

So if you have suffered from a gout attack visit your doctor soon and listen carefully to his advice. You will be given some pills that you have to take every day and you will be advised to change your diet to reduce the uric acid from the blood. If you do so you won't have any problems with gout anymore.
If you are intersted in finding more information about gout you can click on this website http://www.gout-info-center.com. Also you will find there valuable information about gout symptoms and causes of gout.

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